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Parasitologists United Journal
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Abdel Aal, S., Eissa, F., Ibrahim, A., Abdel-Shafi, I. (2024). Investigation of fecal occult blood as a marker of intestinal morbidity in blastocystosis. Parasitologists United Journal, 17(3), 175-182. doi: 10.21608/puj.2024.312608.1264
Shimaa Abdel Aal; Fatma Eissa; Asmaa Ibrahim; Iman Abdel-Shafi. "Investigation of fecal occult blood as a marker of intestinal morbidity in blastocystosis". Parasitologists United Journal, 17, 3, 2024, 175-182. doi: 10.21608/puj.2024.312608.1264
Abdel Aal, S., Eissa, F., Ibrahim, A., Abdel-Shafi, I. (2024). 'Investigation of fecal occult blood as a marker of intestinal morbidity in blastocystosis', Parasitologists United Journal, 17(3), pp. 175-182. doi: 10.21608/puj.2024.312608.1264
Abdel Aal, S., Eissa, F., Ibrahim, A., Abdel-Shafi, I. Investigation of fecal occult blood as a marker of intestinal morbidity in blastocystosis. Parasitologists United Journal, 2024; 17(3): 175-182. doi: 10.21608/puj.2024.312608.1264

Investigation of fecal occult blood as a marker of intestinal morbidity in blastocystosis

Article 4, Volume 17, Issue 3, December 2024, Page 175-182  XML PDF (454.02 K)
Document Type: Original Article
DOI: 10.21608/puj.2024.312608.1264
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Authors
Shimaa Abdel Aal* 1; Fatma Eissa1; Asmaa Ibrahim2; Iman Abdel-Shafiorcid 3
1Departments of Medical Parasitology , Faculty of Medicine, Cairo University , Egypt
2Departments of Medical Parasitology1, and Molecular biology2, Faculty of Medicine, Cairo University1, and Genetic Engineering and Biotechnology Research Institute, University of Sadat City2, Egypt
3Departments of Medical Parasitology , Cairo University Egypt
Abstract
Background: Because the testing for fecal occult blood (FOB) served as a non-invasive screening tool for
intestinal pathological conditions, we hypothesized that FOB might correlate with pathogenic Blastocystis
subtypes.
Objective: To evaluate the usefulness of FOB in blastocystosis as a marker of intestinal morbidity and its
correlation with the detected subtypes.
Patients and Methods: This cross-sectional study recruited 51 patients infected with Blastocystis spp.
Demographic, clinical data, and stool samples were collected. Rapid diagnostic tests for FOB and H. pylori
antigens were performed, and Blastocystis strains were molecularly subtyped using the sequenced-tagged
site-based PCR assay.
Results: Among the study population, gastrointestinal (GI) symptoms were reported in 64.71%, including
abdominal pain (31.4%), diarrhea (13.7%), and irregular bowel habits (29.4%). Positive FOB was detected
in 9 patients (17.6%). Two Blastocystis subtypes were identified: ST1 in 6 cases (11.8%), and ST3 in 45
(88.2%). Statistical analysis indicated a significant association between Blastocystis ST1 and alternating
bowel habits. No significant association was detected between FOB and any Blastocystis subtypes, or the
demographic and clinical parameters.
Conclusion: The study demonstrated FOB insignificant association with blastocystosis. Accordingly, we
eliminated its possible role as an intestinal morbidity marker in blastocystosis.
Keywords
blastocystosis; fecal occult blood; gastrointestinal manifestations; molecular subtyping; morbidity marker
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